Texas § 540.0001 DEFINITIONS.

Texas Statutes

§ 540.0001 — DEFINITIONS.

Texas § 540.0001

Code GVGovernment Code

This text of Texas § 540.0001 (DEFINITIONS.) is published on Counsel Stack Legal Research, covering Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Tex. Government Code Code Ann. § 540.0001 (2026).

Text

Sec. 540.0001. DEFINITIONS. In this chapter:

(1)Notwithstanding Section 521.0001 (2), "commission" means the Health and Human Services Commission or an agency operating part of the Medicaid managed care program, as appropriate.

(2)"Health care service region" or "region" means a Medicaid managed care service area the commission delineates.

(3)"Managed care organization" means a person that is authorized or otherwise permitted by law to arrange for or provide a managed care plan.

(4)"Managed care plan" means a plan under which a person undertakes to provide, arrange for, pay for, or reimburse any part of the cost of any health care service. A part of the plan must consist of arranging for or providing health care services as distinguished from indemnification against the cost of those s

Free access — add to your briefcase to read the full text and ask questions with AI

Sec. 540.0001. DEFINITIONS. In this chapter:
(1) Notwithstanding Section 521.0001 (2), "commission" means the Health and Human Services Commission or an agency operating part of the Medicaid managed care program, as appropriate.
(2) "Health care service region" or "region" means a Medicaid managed care service area the commission delineates.
(3) "Managed care organization" means a person that is authorized or otherwise permitted by law to arrange for or provide a managed care plan.
(4) "Managed care plan" means a plan under which a person undertakes to provide, arrange for, pay for, or reimburse any part of the cost of any health care service. A part of the plan must consist of arranging for or providing health care services as distinguished from indemnification against the cost of those services on a prepaid basis through insurance or otherwise. The term includes a primary care case management provider network. The term does not include a plan that indemnifies a person for the cost of health care services through insurance.
(5) "Potentially preventable event" has the meaning assigned by Section 543A.0001 .
(6) "Recipient" means a Medicaid recipient.
SUBCHAPTER B. ADMINISTRATION OF MEDICAID MANAGED CARE PROGRAM